Provider Demographics
NPI:1124638796
Name:WILKINS, MARKESHA B
Entity type:Individual
Prefix:
First Name:MARKESHA
Middle Name:B
Last Name:WILKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7829 WHITCOMB ST
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-4364
Mailing Address - Country:US
Mailing Address - Phone:616-329-2737
Mailing Address - Fax:219-472-8340
Practice Address - Street 1:7829 WHITCOMB ST
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-4364
Practice Address - Country:US
Practice Address - Phone:616-329-2737
Practice Address - Fax:219-472-8340
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-07
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)